- Molina Healthcare (Columbus, OH)
- …sections and reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development ... SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and...and chemical dependency services - working closely with regional medical directors to standardize behavioral health… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- Molina Healthcare (Columbus, OH)
- …Centers for Medicare and Medicaid Services (CMS) guidelines. * Recruits and onboards new behavioral health medical directors. * Ensures all behavioral ... level medical oversight and expertise related to behavioral health and chemical dependency services, and...health , and at least 2 years as a medical director in a managed care organization… more
- Elevance Health (Columbus, OH)
- …deliver an improvement in the health of the people we serve. The medical director supports product strategy/design through medical management that impact ... health improvement tools offered to clients/ members. The medical director provides clinical expertise in all...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Elevance Health (Worthington, OH)
- …-Long Term Support and Services** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and ... ** Medical Director -Long Term Support and...person_ _‐centered coordination for all members that addresses physical health , behavioral health , long term… more
- CenterWell (Columbus, OH)
- **Become a part of our caring community and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical ... polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …advanced degree preferred (eg. MBA, MPH, MHA, advanced clinical degrees with experience in behavioral health ) + Minimum of 5 years of sales or business ... into customer benefits **PREFERRED QUALIFICATIONS** + Healthcare providers with behavioral health backgrounds (eg licensed therapists, clinical psychologists,… more
- Highmark Health (Columbus, OH)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Highmark Health (Columbus, OH)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians ... three primary Workstreams: leadership over the execution of the Population Health Performance strategy roadmap, support physician executives to identify ownership,… more
- Battelle Memorial Institute (Columbus, OH)
- …Model a culture of safety and risk management across all domains, particularly in behavioral health and data privacy. + Direct resource management and staffing ... Program Director for Human Performance Optimization (HPO)** within our Health Business to lead the execution of large-scale, globally distributed military… more
- Highmark Health (Columbus, OH)
- …and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry ... Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
- Elevance Health (Columbus, OH)
- …culturally competent, person_ _‐_ _centered coordination for all members that addresses physical health , behavioral health , long term services and supports, ... medical necessity denial determination made by a Medical Director . + May work directly with...or RN license and/or certification to practice as a health professional within the scope of licensure in applicable… more
- National Youth Advocate Program (Columbus, OH)
- …and clinical therapists on case consultation with the development and growth of behavioral health and outpatient mental health services. **Responsibilities** ... Repayment assistance** , up to $1,200 per year! + Medical , Dental, and Vision + **22 Days Off** Each...+ Lead the application of evidence-informed service modalities in behavioral health service delivery for the Service… more
- CVS Health (Columbus, OH)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...sustain innovative solutions. The role will report to the Director of Application Engineering.** **Responsibilities** + **Lead diverse, remote… more
- BrightSpring Health Services (Columbus, OH)
- …community living, adult host homes for adults regardless of disability, behavioral /mental health support, in-home pharmacy solutions, telecare and remote ... of data into the company system(s). Works with Executive Director and billing/collection staff to ensure maximum reimbursement to...year of supervisory experience required + One year of medical or relevant billing experience required + Ability to… more